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Entrustable Professional Activities (EPAs) for Global Health.
David R Steeb1, Tina P Brock2, Sarah A Dascanio3
1D.R. Steeb is clinical assistant professor and director, Global Engagement, University of North Carolina at Chapel Hill Eshelman School of Pharmacy, Chapel Hill, North Carolina; ORCID: https://orcid.org/0000-0002-7802-5422 .
Summary
This study developed 22 entrustable professional activities (EPAs) for global health training. These EPAs provide a framework for assessing health professionals across various settings and disciplines.
Area of Science:
- Global Health Education
- Competency-Based Assessment
- Health Professions Training
Background:
- The global health landscape is shifting towards competency-based education.
- Standardized assessment strategies are needed across health professions.
- Existing assessment methods may not adequately capture global health competencies.
Purpose of the Study:
- To develop and define entrustable professional activities (EPAs) for global health.
- To create a framework applicable to both academic and workplace settings.
- To guide the assessment of trainees in global health programs.
Main Methods:
- A 2019 online Delphi process involving 55 global health experts.
- Multiround evaluation of essential global health activities using Likert scales.
- Consensus-based refinement of EPA statements based on importance, relevance, and observability.
Main Results:
- Twenty-two EPA statements achieved at least 70% consensus.
- EPAs were categorized into 5 role domains: partnership developer, capacity builder, data analyzer, equity advocate, and health promoter.
- Equity advocate and partnership developer domains showed highest agreement; observability varied for some EPAs.
Conclusions:
- Entrustable professional activities (EPAs) offer a valuable tool for global health education and training.
- These EPAs can guide the assessment of trainees across health professions.
- Implementation in academic and organizational settings can enhance competency-based global health training.
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